Acutely Ill Child
Burn
Diabetic ketoacidosis / Diabetes mellitus
Meningococcemia
Poisoning / intoxication
Shock
Trauma
- List toxic agents that can cause altered level of consciousness and describe their mechanisms of action
- Describe common toxidromes
- Explain the effect of hyperglycemia on fluid, electrolyte and acid-base status
- Describe the basic principles of pharmacology used in the management of diabetic ketoacidosis
- Describe the pathophysiology of glucose homeostasis and the consequences of hyperglycemia
- Describe how the physiology of the cardiopulmonary systems impacts the vital signs in different age groups
- Describe the anatomic differences between the pediatric and adult airway
- Recognize that a primary respiratory event can lead to cardiac arrest in the pediatric population
- Define shock and describe the pathophysiology of four broad categories of shock: hypovolemic, distributive, cardiogenic and neurogenic
- Recognize that body surface area and degree of burn injury impact fluid management in the pediatric population
- Recognize that acute illness may lead to multisystem organ dysfunction
Overview & Foundational Knowledge
| Pediatric Shock Review
https://pubmed.ncbi.nlm.nih.gov/37777656/ Excellent review of pediatric shock. |
| Invasive meningococcal disease: For health professionals
Government of Canada/Public Health Agency of Canada. Includes good photos. |
Clinical Resources
| Current recommendations for management of paediatric diabetic ketoacidosis
https://cps.ca/fr/documents/position/la-prise-en-charge-de-lacidocetose-diabetique-pediatrique CPS Practice Point (2022). |
| Pediatric Vital Signs. pedscases.com
http://www.pedscases.com/pediatric-vital-signs-reference-chart Pedscases podcast on pediatric vital signs and link to pediatric vital signs reference chart. |
| Krishnamoorthy et al. Pediatric burn injuries. International Journal of Critical Illness & Injury Science (2012); 2(3): 128-134.
Overview of pediatric burns, including classification of burn, systemic effects, and goals of management. |
| Management of the paediatric patient with acute head trauma.
http://www.cps.ca/en/documents/position/paediatric-patient-with-acute-head-trauma http://www.cps.ca/fr/documents/position/patient-age-pediatrique-victime-traumatisme-cranien-aigu Canadian Paediatric Society Position Statement (2016). |
Cards
| Acutely Unwell Child
Canuc-Paeds physician authored, replayable cases |
